1600 Selva Marina Dr gas permit CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHG-2053
Job Type: MECHANICAL GAS PIPING
Description: GAS PIPING -4 OUTLETS
Estimated Value: $2,000.00
Issue Date: 9/13/2016
Expiration Date: 3/12/2017
PROPERTY ADDRESS:
Address: 1600 SELVA MARINA DR
RE Number: 169399-0000
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS, LLC
Address: 414 OLD HARD RD SUITE 502
GENERAL CONTRACTOR INFORMATION:
Name: FIRST QUALITY GAS, INC.
, 12922
Address: P O BOX 16303
Phone: -
FEES:
Gas Pipe Outlets $10.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE Wrnl ALL CITY OF ATLANTIC REACH ORDINANCES AND TRE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 I -M C, H G-ZC Z
JOB ADDRESS: �4 5e-(\(a MaC;n/a PERMIT#
PROJECT VALUE$_3Oirij. '� ARI# REQUIRED
_Air Handling Equipment Only _Air Handling Unit& Condenser _ Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuanUTy Tons Pet Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per UnitSeer Rating
Duct Systems: Total CFM
REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipeuantity
(Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
LL OTHER GAS PIPIN Elevators Escalators
'�_ Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
THER•
mit becomes void ifwork does not commence within a sir:month period or work is suspended or abandoned for six months.I hereby certify that I have reed
application and Imow the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specified or
The permit does not give authority to violate the provisions of my other state or local law mgalation construction or the performance of construction.
rperty Owners Name r— r G
Phone Number
chanical Comppany. !�-S% Office Phone Pax
Pax
Address: City Ta3e State zip.�� f
ense Holder(Print): r 2
rtification/Registration# z z ,
arized Signature of License
.;�; roxi cisotEsvERcu+ l�—day of
avcaHaisslaSKRGERsBef a me this 0
"v+z EXPIRES:OCIober 6,2919
R.'r.',i,^• a�moa rn,u�ua werr u�a ture of Notary Public i
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